Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,606.45 / $4,366.08	Facility		$1,590.54	$1,606.45	$4,366.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,606.45	Professional		$1,590.54	$1,590.54	$1,606.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,351.96 / $1,590.54 / $2,385.81	Facility		$1,351.96	$1,590.54	$2,385.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,650.56	Professional		$1,590.54	$1,590.54	$1,650.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.54 / $1,650.56 / $2,750.91	Professional		$1,575.54	$1,650.56	$2,750.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,670.35 / $4,366.08	Facility		$1,590.54	$1,670.35	$4,366.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,670.35	Professional		$1,590.54	$1,590.54	$1,670.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $1,590.54 / $1,590.54	Facility		$1,500.51	$1,590.54	$1,590.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,004.39	Professional		$1,590.54	$1,590.54	$2,004.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $127.20 / $147.60	Facility		$127.20	$127.20	$147.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $127.20 / $147.60	Professional		$127.20	$127.20	$147.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,446.78	Professional		$1,590.54	$1,590.54	$2,446.78